Samantha Kai Colliver, NP
Nurse Practitioner, Family in Fort Belvoir, VA. Individual provider (NPI-1).
NPI number1992651053
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1992651053
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha Kai Colliver
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2026
- Certification date
- Mar 9, 2026
- Last updated
- Mar 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 24196347 | VA | Yes |
Practice location
9300 Dewitt LoopFort Belvoir, VA 22060-5285
Phone 704-589-1410
Mailing address
4 Wallaroo CtFredericksburg, VA 22405-2177
Phone 704-589-1410
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